Healthcare Provider Details
I. General information
NPI: 1891775979
Provider Name (Legal Business Name): ELIZABETH HELFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/17/2006
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 E. LAUREL RD 3100
STRATFORD NJ
08084-1354
US
IV. Provider business mailing address
42 E. LAUREL RD 3100
STRATFORD NJ
08084-1354
US
V. Phone/Fax
- Phone: 856-566-6845
- Fax: 856-566-6906
- Phone: 856-566-6845
- Fax: 856-566-6906
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MA05124000 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | MA05124000 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: